Failure to Meet Residents' Individualized Activity Needs and Preferences
Penalty
Summary
The facility failed to consistently meet the identified needs and preferences for activities for three of four residents reviewed. For one resident, assessments indicated a strong preference for listening to music and engaging in independent activities such as coloring. However, the resident's CD player was missing for three weeks, preventing access to preferred music, and there was no evidence that staff updated the care plan or provided alternative means to meet these preferences. Activity calendars showed minimal participation, and documentation of one-to-one interactions was lacking in narrative notes, with no subsequent changes to interventions. Another resident, who required assistance with all activities of daily living and had multiple diagnoses including dementia and depression, expressed preferences for music, being around animals, and going outside. Despite these preferences, the resident participated in a limited number of scheduled activities and received few one-to-one visits, with narrative notes lacking documentation of these interactions. Staff interviews revealed that the resident often refused activities and preferred to roam the hallway, but there was no evidence of updated care plan interventions to address these behaviors or preferences. A third resident with severe cognitive impairment and significant hearing loss also had specific activity preferences, including group activities and being around animals. This resident attended very few scheduled activities and received minimal one-to-one attention, with poor documentation of these visits. Staff acknowledged the resident's hearing difficulties and inconsistent participation, but there were no updates to the care plan to better address the resident's needs. The facility's policy required individualized activity programming and documentation of one-to-one visits, but the frequency and focus of these visits were not specified, and the policy was not consistently followed.